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Q Is clinical examination as accurate as ultrasonography for identifying fetuses in non-cephalic presentation in late pregnancy?
Clinical impact ratings GP/FP/Obstetrics ★★★★★★☆ Obstetrics ★★★★☆☆☆
blinded comparison of clinical examination and ultrasonography.
antenatal clinic in tertiary obstetric hospital in Sydney, New South Wales, Australia.
1633 women (mean age 31 y) with a singleton pregnancy at 35–37 weeks’ gestation.
Description of test:
clinical examination to assess fetal presentation was performed as part of routine antenatal care by residents or registrars (55% of examinations), midwives (28%), or obstetricians (17%).
ultrasound examination of the fetus using a hand held machine.
sensitivity, specificity, and likelihood ratios.
In 130 women (8.0%), the fetus was in non-cephalic presentation: 6.3% in breech presentation and 1.7% with transverse or oblique lie. The diagnostic characteristics of clinical examination, compared with ultrasonographic …
For correspondence: Dr N Nassar, Telethon Institute for Child Heath Research, West Perth, Western Australia, Australia.
Source of funding: Australian National Health and Medical Research Council.
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